H2 Blockers · Pharmacology

How do H2RAs affect the secretion of pepsin?

  1. They directly inhibit the proteolytic enzyme activity of pepsin
  2. They reduce gastric juice volume and total pepsin output
  3. They stimulate the chief cells to release more pepsinogen
  4. They have no measurable effect on pepsin output
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Correct answer: They reduce gastric juice volume and total pepsin output

H2 blockers reduce the total volume of gastric secretions. Since pepsinogen secretion is proportional to the volume of acid produced, the total amount of pepsin in the stomach is effectively decreased.

Difficulty: Medium Question 13 of 20

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